mercoledì 21 marzo 2012 Dr. Hadas Lewy

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1 Dr. Hadas Lewy

2 Maccabi Healthcare Services Second largest and fastest growing HMO in Israel Non-profit mutual. Recognized health fund - Israeli National Health Insurance Law Provides public basket of services Supplies services via own facilities and outside providers

3 Maccabi Statistics 1.9 million members (25% Market Share) physicians. Contracts with all public acute care and geriatric hospitals Owns Assuta Medical Centers, the largest private hospital network in Israel with 13 facilities all across the country Contracts with 700 private pharmacies and operates a chain of 53 pharmacies of its own Maccabi's income budget 1.8 Billion

4 The Maccabi Healthcare System is Highly Computerized Every transaction computerized Electronic Medical Record/Central Medical Record E-Laboratory E- Prescription E- Consultation Telemedicine Alerts and Reminders Access to all information on the patient/physician Portal Patient Website PHR

5 Maccabi Research & Development

6 Research, Development, Implementation & Commercialization Maccabi Research Institute performs and supports research & development of : systems for aging population Database infrastructure for research of healtcare services Preservation system Research for Health Services research Maccabi develops and deploys telemedicine systems, home monitoring and home care services Maccabi s R&D company- Nevet Ltd- develop and commercialize products for health care services

7 ENSURE Enabling knowledge Sustainability Usability and Recovery for Economic ENSURE aim to significantly improve the digital preservation by: Addressing businesses and economic implications of preservation Conforming to regulatory, contractual and legal requirements as part of a whole workflow Managing long term integrity and authenticity Support different types of digital resources.

8 Economical Solutions for Long Term Digital Preservation 1. EVALUATE Cost, Value and Risk 2. AUTOMATE Preservation Lifecycle 43. PROTECT Content-aware data protection 4. SCALE using ICT innovations INNOVATIONS 3USE CASES Healthcare Clinical Studies Financial Services

9 Hospitals DSS Office visits Diagnostics Pathology Electronic Health Record Telemedicine PHR Treatments Imaging Laboratory Results Medications

10 Preservation challenges in health care Wide variety of data types Huge amounts of data accumulate over time Large size of individual data objects pathology, monitoring data Need to keep all data due to regulation and claims- varies between countries and overtime Privacy and security issues

11 Preservation challenges in health care The data must stay in a format that is usable at any point in time. Need for data availability by demand online The system should allow accessibility to data that the technology that created it is no longer in use. Business value in data (better patient care, clinical studies)

12 Challenges for preservation domain Past efforts on digital preservation have focused on cultural heritage ENSURE addresses the need for long-term digital preservation to take a more business/industry-oriented focus Healthcare domain brings new requirements and help drive new research in the preservation domain

13 Ensure overview USA Tel-Aviv Luleå Ireland Ghent Configuration Ingest Fixity Transformation Search Access Non-repudiable log

14 ENSURE Architecture Administrator Requirements Configuration Selection Configurator Preservation Plan Optimizer Cost/Risk Evaluation Economic Performance Evaluation Quality Evaluation Preservation Plan Configuratio n C Layer User Ingest Access Information Preparation ENSURE Preservation Runtime Preservation Digital Asset Lifecycle Mgmt Content-Aware Long-Term Data Protection Preservation Runtime Infrastructure Preservation-aware Storage Services System Runtime Storage/Compute Service 1 Storage/Compute Service 2 Storage/Compute Service n

15 Ensure and Healthcare Configure system PDS Cloud Lifecycle management Non- repudiable logging Onotological search and extraction Images, diagnosis, info pages Transformation Fixity check

16 Ensure will: Advance research on preservation and cloud for e-health Introduce new solution for Healthcare Facilitate data exchange and sharing between different organizations and for clinical research

17 Thank You